PINNACLE HEALTH FACILITIES XVII LP (NPI# 1356425698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356425698 |
| Entity Type | Organization |
| Organization Name | PINNACLE HEALTH FACILITIES XVII LP |
| Other Organization Name | POLK CITY NURSING AND REHABILITATION CENTER |
| Practice Address |
1002 W Washington Ave Polk City IA 50226-2132 |
| Mailing Address |
5420 W Plano Pkwy Plano TX 75093-4823 |
| Practice Telephone | 5159846411 |
| Practice Fax Number | 5159849294 |
| Mailing Telephone | 9729313800 |
| Mailing Fax Number | 9727676222 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9729313800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0809848 | 05 |
| Other Name | Type Code |
|---|---|
| Polk City Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093899312 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 500 E Valley Dr, Carroll, IA 51401-3140 | 2006-10-24 |
| 1245699214 | Pinnacle Health Facilities Xvii Lp | Assisted Living Facility | 233 University Ave, Des Moines, IA 50314-3124 | 2016-02-18 |
| 1912081241 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2006-10-24 |
| 1730263070 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 921 Sunset Dr, Norwalk, IA 50211-1425 | 2006-10-24 |
| 1518041854 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2006-10-24 |
| 1184708430 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 233 University Ave, Des Moines, IA 50314-3124 | 2006-10-24 |
| 1023192341 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 200 7th Ave Sw, Altoona, IA 50009-1630 | 2006-10-24 |
| Street Address |
1002 W WASHINGTON AVE |
| City | POLK CITY |
| State | IA |
| Zip Code | 50226-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912967506 | Centers for Long Term Care of Iowa | Skilled Nursing Facility | 1002 W Washington Ave, Polk City, IA 50226-2132 | 2006-03-27 |
| 1841822731 | Opco Polk City, Ia, LLC | Skilled Nursing Facility | 1002 W Washington Ave, Polk City, IA 50226-2132 | 2020-02-07 |
| 1003295056 | Kimberly Jean Ludwig | Licensed Practical Nurse | 1002 W Washington Ave, Polk City, IA 50226-2132 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043532302 | Cornerstone Dental of Iowa,llc | Dentist | 201 N 3rd Street, Unit F, Polk City, IA 50226 | 2010-02-26 |
| 1124357991 | George T. Kappos, Md | Clinic/Center | 109 2nd Street, Polk City, IA 50226 | 2009-12-08 |
| 1477881167 | Justin R Sands D.c. Pllc | Chiropractor | 407 W Bridge Rd, Ste 8, Polk City, IA 50226 | 2009-11-18 |
| 1558507806 | Rock Valley Physical Therapy Center | Occupational Therapist | 212 W Van Dorn St, Ste D, Polk City, IA 50226 | 2008-12-16 |
| 1851364921 | Traci Ann Friedman | Optometrist | 905 W. Bridge Road, Suite 1, Polk City, IA 50226 | 2006-02-09 |
| 1811225501 | Justin Ryan Sands | Chiropractor | 407 W Bridge Rd, Ste 8, Polk City, IA 50226 | 2009-11-18 |
| 1073673463 | City of Polk City | Ambulance | 309 W. Van Dorn, Polk City, IA 50226-0034 | 2006-12-08 |
| 1659383867 | Stephanie Jane Kelsick | Physical Therapist | 212 W Van Dorn St., Ste D, Polk City, IA 50226-0142 | 2006-08-13 |
| 1790812337 | Norgaard and Williams General Parternership | Pharmacy | 119 2nd St., Polk City, IA 50226-0500 | 2007-02-28 |
| 1467430090 | George T Kappos | Family Medicine | 1010 S 3rd St, 1a, Polk City, IA 50226-1130 | 2006-01-04 |
| Find all providers in zip 50226 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912967506 | Centers for Long Term Care of Iowa | Skilled Nursing Facility | 1002 W Washington Ave, Polk City, IA 50226-2132 | 2006-03-27 |
| 1841822731 | Opco Polk City, Ia, LLC | Skilled Nursing Facility | 1002 W Washington Ave, Polk City, IA 50226-2132 | 2020-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.